45233_GRIFFIN, LLOYD_20060503

❑CAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit#
❑New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued i
As authorized by the State of North Carolina, Department of Environment and Natural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
El Rules attached.
Applicant Name J 61 { � Project Location: County
Address Street Address/ State Road/ Lot #(s)
City State ZIP
Phone # () Fax # ( ) Subdivision
Authorized Agent City ZIP
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Phone # ( ) River Basin
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body (nat /man /unkn)
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards_
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other `❑
Shoreline Length
SAM not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
(Scale:
D See note on back regarding River Basin rules.
f' AAv g
f\gentorApplicant. Printed Name �' .) 2 06 Permit Officer" ignature
j;
Signature Please read compliance stateme f Qty I)C �sging Date
Expiration Date
Rover File Name
ApplicationFee(s) Check# Local Planning Jurisdiction

Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become
null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The
applicant certifies by signing this permit that 1) prior to undertaking any activities authorized by this permit, the applicant will
confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian
landowner(s) .
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
❑ Tar - Pamlico River Basin Buffer Rules J Other:
❑ Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the
River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of
Water Quality. Contact the Division of Water Quality at the Washington Regional Office (252-946-6481) or the Wilmington
Regional Office (910-796-7215) for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Central Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:[phone]
Elizabeth City District
1367 U.S. 17 South
Elizabeth City, NC 27909
252-264-3901
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City District
400 Commerce Ave
Morehead City, NC 28557
202-808-2808/ 1-888-4RCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax:[phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 06/29/05

APR . 2A . 2006/ . 0 : 36AM IIr NADEP CHERRY POINT NC (P2 D I V )..._.y, �. . i b N0.672 r, , P . 4i4 �,
ar •4• J1 IMIN G� r LUuu 1Lr ul .��.tir �IIr1 r� �� r -� r� .. _..
r,
APJACENT PUPARIA,N PLO ti,TNT
I hereby certify that I own properly adjacent: to �,`L. � (2t LLa )
(Narle of I'roparty Owner)
their property is located at
(Lot, Block, Roo zt..c.
(Waterbody) (Town and/or r ;aunty)
North Carolina.
The applicant bas deRcribed to me, as shown below. the developiri nt proposed at the
above loca6Qn. I understand that any construction, raust be setback A taini,ntum distance
ofF-tp:een feet (15') fm.in my atea of riparian access unlessmai-edby Mc. The (15')
setback does not apply to the following: bulkheads! n.prap, raml. upland boat
ba.9ins, utility lines and attendant structures, temporary gtructuras, riprop for vY etland
protectinn, or upland development,
I btive no objection to the project as proposed, lout do not
wish to waive the (1,5') setback r.1piTTI cant.
.4 I have no ohiection to the project as proposed and do wish
to waive the (15') setback rgquire1#50,,
I object to the project as proposed.
DES IUPTI AN /OK DRAWJNU —OF P 0l�� ED 1: � N JN 1'
(To be filled in by individual proposing the develoM(,, t)
PRINT OR TYPE NAME
TEL,EPIdONE NUMB0(3
ER
arn1�Ao6
S; Cr'4 ATL R fs

MAY. 3.2006 7:06AM NADEP CHERRY POINT NC (P2 DIV) NO.718 P.1i1
'I,'I.: ,� l I'll ih a 1. • 'Mich LLI: ' 11. M LIh_I N" 1 r,L., rr.I I .ir rr.• _1 1 V
wkD Ar'.ENT.RIPo�.R1; 11 PlZnI�T;R'Tl",+7��'*dER �^� T. '� iF*1
1 hrrrby :ertif"4 Mat 1 romp. pnol+,;rly .)ciizcerrl to I.�x,-1i}'F rr4
of I -opert y Owpict'1
their pro Lertv is iocaccd at N illcl
(Lot, Block. Road, 4c. )
on
('W atorbody) i ro,; n7i 1 of �. ^urdy)
\ orth (;,IroI ina,
'IliE applicant bas described to me, c)s shom'n 13-10'hl. --oposed at tilt:
above local -ion, I, understand that any construction, riust be sot hack a I iini�nwn 1i;11•1141n
of fifteen feet (1 S') from my area of riparian ;wcoss unlees wai�yed by r,ie. The (I J
setback does not apply to the following: bulklivlads, rip*ao, )oH' ramp; uplatnd. Gomm
basins, utility lines and attendant strictures, tarnlporary 91ruct11r�5, riprilp for w oll vi,l
protection, or upland development,
I have no objection to tbo proj"I as ptopoeed, Ilut du not
wish to waive the (15') aetback rbqulrem ant.
I have no objection tothe projecl asprol oxed and d,. wish
to waive the (15') setback rcquirnmt
r object to the project as propose 1.
9C1 AN 'O JNG U + MY�Jt 3Erf'=LUP'Vl r`; n i
(To be filled in by individual proposing the de,relopm zt)
OPTIONAL FORM 00 (7-90)
FAX TRANSMITTAL Yofpapa ►
To +�TEVl`l ♦�. From
,,off �CztE= Mom
DopuAaency e%hL ► I Phone a • — i . ....
�2 2 ll 3--53 d 7"
NGN 7540-01-317-7389 5099-101 GENERAL 8EAWX3 ADMINISTRATION
PRINT OR TYPE NAME ... -s'
rK.EPHONE NUMBER
a:n'006

APR;24.2e0t�R c�3. 2Pe IDNADF 1 r N PtVLPPOINT NC IELLNU vESE-V(S-3%G
I
—f-C,
NO.675 P.3/3
#6411 7 rp uz ' 1.,,2
Authorized Agent Consent Agreement
I 0-1GI~K, &by authorize r7� N io act on
Grnpefty owildr) (Autl�or��.adAgenz)
my behalf in obtaining CAMA pennitq for the locatieiz listed balow.
property Address;
-- _ oa
Property Owner's Mailing Address:
Property Cnvner's Signatu -
Authorized Agent Sigilat=:
Dace; `� ��

APR1 .24.2006 8:35`AM NADEP CHERRY POINT NC (P2 DIV) NO.672 P.1i4
I
14
SA -1
- --
-.
,9pa
l

7abitil 6� eif-11J13046
T.J.'S CUSTOM BLDG. INC. FIRST SOUTH BANK
118 CATNIP POINT WASHINGTON, NC 27889
BATH, NC 27808 66-7162/2531
PAY TO THE
ORDER OF
52 3
MEMO
II'01301,6n' 1:2S317IF, 211:
$ 'ry o , o 0
DOLLARS 8 P-� I
NP
0000 1S8667112